JUSTINE BENIN (NPI# 1942541362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942541362 |
| Entity Type | Individual |
| Full Name | JUSTINE BENIN |
| Credential | D.O. |
| Practice Address |
146 E Geneva Sq Lake Geneva WI 53147-9694 |
| Practice Telephone | 2622395000 |
| Mailing Telephone | 2622395000 |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2016-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 65810-21 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
146 E GENEVA SQ |
| City | LAKE GENEVA |
| State | WI |
| Zip Code | 53147-9694 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356340483 | Catherine Redding Davis | Social Worker | 146 E Geneva Sq, Aurora Health Center, Lake Geneva, WI 53147-9694 | 2005-07-20 |
| 1588219679 | Shawn M Stemper | Nurse Practitioner | 146 E Geneva Sq, Lake Geneva, WI 53147-9694 | 2019-08-06 |
| 1396253571 | Amar Y. Patel | Family Medicine | 146 E Geneva Sq, Lake Geneva, WI 53147 | 2018-01-22 |
| 1336686211 | Ashley L Vos | Nurse Practitioner | 146 E Geneva Sq, Lake Geneva, WI 53147-9694 | 2017-01-30 |
| 1487199402 | Brenda Brauer | Registered Nurse | 146 E Geneva Sq, Lake Geneva, WI 53147-9694 | 2016-12-29 |
| 1679017925 | Christina L. Clancy | Nurse Practitioner | 146 E Geneva Sq, Lake Geneva, WI 53147 | 2016-12-06 |
| 1568819845 | Javier Gallegos | Family Medicine | 146 E Geneva Sq, Lake Geneva, WI 53147-9694 | 2016-05-17 |
| 1609242759 | Benjamin Bilke | Physical Therapy Assistant | 146 E Geneva Sq, Lake Geneva, WI 53147-9694 | 2015-08-12 |
| 1992181408 | James William Gelder | Physician Assistant | 146 E Geneva Sq, Lake Geneva, WI 53147-9694 | 2015-08-06 |
| 1033593918 | Crystal J Dillett | Nurse Practitioner | 146 E Geneva Sq, Lake Geneva, WI 53147-9694 | 2015-07-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356951206 | Emily Tanis | Physical Therapist | 6722 Wi-50, Lake Geneva, WI 53147 | 2020-08-05 |
| 1588295653 | Baylee M Noe | Occupational Therapy Assistant | Sage Meadow of Lake Geneva 6722 Wi-50, Lake Geneva, WI 53147 | 2020-01-28 |
| 1124539556 | Roxanne Weber | Registered Nurse | 146 E. Geneva Square, Lake Geneva, WI 53147 | 2017-10-12 |
| 1386969400 | Emily Kathleen Wilczak | Surgery | N2950 Wi-67, Lake Geneva, WI 53147 | 2010-03-31 |
| 1538294020 | Dale Alan Miller | Pharmacist | 2950 St. Hwy. 67, Lake Geneva, WI 53147 | 2007-02-23 |
| 1689779902 | Balistreri & Associates Physical Therapy | Physical Therapist | 902 Wells Street, Lake Geneva, WI 53147 | 2006-09-13 |
| 1336157981 | Nestor C Alabarca | Internal Medicine | 146 E Geneva Square, Lake Geneva, WI 53147 | 2006-08-03 |
| 1144259375 | Kim M. Cuculi | Occupational Therapist | 800 Geneva Pkwy N Ste 3, Lake Geneva, WI 53147 | 2006-07-01 |
| 1033550934 | Kathleen M Bullard | Counselor | 647 W Main St Ste 900, Lake Geneva, WI 53147 | 2013-07-09 |
| 1437492675 | Nicole M. Gladchenko | Physician Assistant | N2950 State Road 67, Lake Geneva, WI 53147 | 2013-04-05 |
| Find all providers in zip 53147 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356432660 | Jaime Quezada | Family Medicine | 350 Peller Rd, Lake Geneva, WI 53147-4543 | 2006-09-28 |
| 1396253571 | Amar Y. Patel | Family Medicine | 146 E Geneva Sq, Lake Geneva, WI 53147 | 2018-01-22 |
| 1568819845 | Javier Gallegos | Family Medicine | 146 E Geneva Sq, Lake Geneva, WI 53147-9694 | 2016-05-17 |
| 1598008351 | Volha Haliantava | Family Medicine | 146 E Geneva Sq, Lake Geneva, WI 53147-9694 | 2013-03-30 |
| 1619242005 | Andrew C. Morton | Family Medicine | N2950 State Road 67, Lake Geneva, WI 53147-2655 | 2012-03-19 |
| 1669788477 | Rebecca L Zimmermann | Family Medicine | 146 E Geneva Sq, Lake Geneva, WI 53147 | 2010-08-31 |
| 1801069091 | Andrew R Meyer | Family Medicine | 146 E Geneva Sq, Lake Geneva, WI 53147-9694 | 2008-04-08 |
| 1255519880 | James Joseph Mccoy | Family Medicine | N2950 State Road 67, Lake Geneva, WI 53147-2655 | 2008-02-06 |
| 1497959779 | Norbert G Debiase | Family Medicine | 350 Peller Rd, Lake Geneva, WI 53147-4543 | 2007-06-12 |
| 1508078643 | Jason S So | Family Medicine | 350 Peller Rd, Lake Geneva, WI 53147-4543 | 2007-05-03 |
| Find all providers in LAKE GENEVA | ||||
| City | LAKE GENEVA |
| Zip Code | 53147 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.